Individual provider Active NPI

Michelle Andrade, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1164742201
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11195 Issued in TX
Practice address
2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748
Phone
(512) 371-1886
Fax
(512) 371-1665
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11195 TX Primary

Addresses

Primary practice location

2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748

Mailing address

2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748
Phone (512) 371-1886

Other identifiers 1

IdentifierTypeStateIssuer
1598077315OtherTXBILLING NPI

Other names 1

  • Dr. Michelle Perez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11195TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Chiropractic, PC Chiropractor CurrentSince Nov 10, 2024 Accepting new patients

Locations

2009 S Capital of Texas Hwy
Ste 320
Austin, TX 78746
Phone (512) 371-1886

5555 N Lamar Blvd
Ste C121
Austin, TX 78751
Phone (512) 371-1886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1164742201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 S CAPITAL OF TEXAS HWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467748",
            "telephone_number": "512-371-1886",
            "fax_number": "512-371-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 S CAPITAL OF TEXAS HWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467748",
            "telephone_number": "512-371-1886",
            "fax_number": "512-371-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NPI",
            "identifier": "1598077315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PEREZ",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.